Efficacy of microvascular decompression for treating trigeminal neuralgia and hemifacial spasm

VernacularTitle:显微血管减压术治疗三叉神经痛和面肌痉挛的疗效观察
Author: Tao LI ; Yapeng CHENG ; Yueting LIU
Keywords: Trigeminal neuralgia; Microsurgery; Vascular surgical procedures
From: Chinese Journal of General Practitioners 2017;16(3):227-229
CountryChina
Language:Chinese
Abstract: Ninety nine patients with trigeminal neuralgia (TN,n =59) or hemifacial spasm (HFS,n =40) underwent microvascular decompression (MVD) treatment in our hospital from January 2012 to December 2015,and were followed up for more than 1 year.Total 94 patients (94.9％) were cured after the surgery,including 55 TN cases (93.2％) and 39 HFS cases (97.5％).The 1-year follow up showed that total 98 patients (99.0％) were cured,including 58 TN cases (98.3％) and 40 HFS cases (100.0％).Among the HFS cases,1 patient got gentle spasm,1 patient got hearing deficit,1 patient got light facial palsy after the operation,and all recovered completely during the follow-up.Among the TN cases,4 patients got pain attack infrequently after the operation,3 of them recovered during the follow-up,and the symptoms were satisfactorily controlled by taking carbamazepine in rest 1 case.No cases had cerebrospinal fluid leakage or intracerebral infection.The results indicate that MVD is an effective treatment of HFS and TN with less surgical injury or complications.